Table 2: Disadvantages of the Kaiser Permanente LAMC model compared to university-based academics

·      Restrictive institutional review board

·      Slow contracts process for clinical trials

·      Limited basic science opportunities

·      No well-known, established academicians

·      Not allowed to use aesthetic products and lasers for purely cosmetic purposes.

·      Somewhat limited formulary for expensive biologics (i.e., alefacept) or trade name